For European health companies operating in the mid-market segment, defined as those with enterprise values (EV) between €25M and €250M, the initial public offering (IPO) window is structurally closed. Public equity markets have fundamentally recalibrated their underwriting criteria, demanding institutional scale, positive EBITDA and deep secondary market liquidity that companies within this valuation band cannot credibly deliver.

The European healthcare technology (HealthTech) mergers and acquisitions (M&A) landscape has entered a period of structured recalibration. Following post-pandemic market adjustments, current M&A activity reflects a structural transition away from speculative growth toward high-conviction, disciplined transactions. Capital deployment is heavily concentrated in platforms demonstrating clear operational leverage, defensible reimbursement pathways, and deep technological moats.